• 제목/요약/키워드: Rural medicine

검색결과 1,934건 처리시간 0.022초

Incidence of and Factors for Self-reported Fragility Fractures Among Middle-aged and Elderly Women in Rural Korea: An 11-Year Follow-up Study

  • Ahn, Soon-Ki;Kam, Sin;Chun, Byung-Yeol
    • Journal of Preventive Medicine and Public Health
    • /
    • 제47권6호
    • /
    • pp.289-297
    • /
    • 2014
  • Objectives: This community-based cohort study was performed to investigate the incidence of and factors related to self-reported fragility fractures among middle-aged and elderly women living in rural Korea. Methods: The osteoporosis cohort recruited 430 women 40 to 69 years old in 1999, and 396 of these women were followed over 11 years. In 1999, questionnaires from all participants assessed general characteristics, medical history, lifestyle, menstrual and reproductive characteristics, and bone mineral density. In 2010, self-reported fractures and the date, site, and cause of these fractures were recorded. Cox proportional hazards models were used to calculate hazard ratios (HRs). Results: Seventy-six participants among 3949.7 person-years experienced fragility fractures during the 11-year follow-up. The incidence of fragility fractures was 1924.2 per 100 000 person-years (95% confidence interval [CI], 1491.6 to 2356.8). In the multivariate model, low body mass index (HR, 2.66; 95% CI, 1.13 to 6.24), a parental history of osteoporosis (HR, 2.03; 95% CI, 1.18 to 3.49), and postmenopausal status (HR, 3.50; 95% CI, 1.05 to 11.67) were significantly related to fragility fracture. Conclusions: Fracture prevention programs are needed among postmenopausal, rural, Korean women with a low body mass index and parental history of osteoporosis Korea.

성인의 일상적인 식사섭취상태의 지역별 비교평가 (Comparative Evaluation of Dietary Intake Status on Self-selected Diet in Korean Adults by Region Groups)

  • 최미경;이주연;이원영;박정덕
    • 대한영양사협회학술지
    • /
    • 제11권3호
    • /
    • pp.309-319
    • /
    • 2005
  • The purpose of this study was to compare the nutritional menu value of self-selected diet in Korean adults residing in different regions. Subjects were recruited and divided into three groups according to the districts where they lived, which included rural district(n=137), coastal district(n=100), and urban district(n=117). Subjects were interviewed using a general questionnaire and 24-hour recall method for dietary intake. The average age of the subjects were 57.5 years for rural district, 57.0 years for coastal district, and 47.9 years for urban district. The contents of energy, calcium, zinc, vitamin $B_2$, and vitamin E in self-selected diet were 76.1%, 60.1%, 73.1%, 68.6%, and 80.4% of RDAs, respectively. Index of nutritional quality(INQ) for calcium and vitamin $B_2$ was below in 1 in region groups. The contents of calcium and vitamin E in self-selected diet of rural and coastal districts were significantly lower than those of urban district. The numbers of food items in diet of rural, coastal, and urban district were 14.6, 15.3, 15.1 for breakfast, 16.5, 11.8, 17.0 for lunch, 14.9, 12.1, 15.1 for dinner, respectively. However, there was no significance in total food intake by regions. The food intakes from cereals, mushrooms, vegetables of rural district, that from fishes of coastal district, and those from sugars, milks, oils of urban district were the highest among three districts. The numbers of dish items in diet of rural, coastal, and urban district were 4.1, 4.4, 4.1 for breakfast, 4.5, 3.7, 4.4 for lunch, 4.0, 3.8, 4.2 for dinner, respectively. Especially, the number of food and dish items in lunch menu of coastal district was the lowest among region groups. According to these results, it could be suggested to add milk and its products in lunch menu of rural and coastal districts and to supplement fish and shellfish like anchovy in diet of rural and urban districts. And it is recommended to increase food and dish items in diets of three region groups.

  • PDF

농촌지역 청소년의 건강행태 (Health Behaviors among Adolescents in the Rural Area in Korea)

  • 박순우
    • 농촌의학ㆍ지역보건
    • /
    • 제34권2호
    • /
    • pp.202-213
    • /
    • 2009
  • 본 연구는 농촌지역 청소년들의 건강행태를 도시지역 청소년들과 비교하기 위해 2005년에 실시한 전국청소년건강행태 온라인 조사 자료를 이용하여 분석하였다. 그 결과 흡연경험률, 중학교 입학전 흡연경험률, 음주빈도, 음주후 위험행동 경험률, 점심 및 저녁 결식, 과일 및 우유 섭취, 칫솔질 횟수, 구강질환 증상 경험, 구강 진료 경험, 구강 에방진료. 안전 및 위생의식 등의 행태에서 도시지역 청소년에 비해 바람직하지 못 한 결과를 보였다. 이러한 결과가 지역규모에 따른 차이인지 혹은 도농간의 사회경제적 수준의 격차와 관련이 있는지에 대하여 향후 추가적인 연구가 필요하다. 본 조사 결과를 통해 청소년 건강행태 개선을 위한 건강증진사업은 농촌 청소년을 대상으로 우선적으로 수행하여야 할 당위성을 확인하였다고 할 수 있다.

Factors Influencing Suicidal Ideation According to the Deprivation Indices of Different Regions in Korea

  • Yun-Young Kim;Hyung-Joo Park
    • Journal of Preventive Medicine and Public Health
    • /
    • 제56권1호
    • /
    • pp.88-94
    • /
    • 2023
  • Objectives: This study examined how deprivation differed by region and the effect those differences had on suicidal ideation among the local population. Methods: Data collected over 10 years (2012-2021) in the Korea Welfare Panel Study were organized into 3 categories: metropolitan, city, and rural. A panel analysis was conducted on the impact of deprivation indices, socio-demographic characteristics, and life satisfaction on suicidal ideation in each category. Results: Income, divorce status, family relationship satisfaction, and medical deprivation had a significant impact on suicidal ideation in metropolitan areas, whereas these variables did not have significant effects in rural areas. In other words, income, family, and medical support were more impactful in city areas. Conclusions: Although the deprivation index was higher in rural areas than in city areas due to an aging population and reduced income levels, the mental health of rural residents was found to be generally better than that of city residents. The possibility that this is related to the strength of relationships within the respective communities should be considered in light of recent discussions on relational welfare.

농촌지역 초등학교 학생들의 성장도 및 성장운동프로그램 운영 보고 (A Study on the Efficacy of Growth Excercise Program in Rural Elementary School Students)

  • 설재욱;황의형;신미숙;신병철;김선종
    • 대한예방한의학회지
    • /
    • 제14권3호
    • /
    • pp.107-115
    • /
    • 2010
  • Objectives : The purpose of this study is to investigate the efficacy of growth exercise program based on Korean medicine. Methods : We recruited fifty two elementary students in a rural area, and measured height, weight, BMI, WHR, and bone age. Questionnaire on sleep, exercise, symptoms based on Korean medicine was performed. Students exercised TaeGuk(太極) Health Gigong(氣功), a growth exercise program 11 times in 6 weeks. Results : Height, weight, BMI and WHR of the subject students were lower than those in the Korean CDC(Center for Disease Control and Prevention) growth chart. There was significantly negative correlation between time of sleep and bone age(p=0.028), but no correlation between time of exercise and bone age(p=0.668). According to diagnosis based on Korean medicine, many students were in weakness of spleen and lung, and bone age according to deficiency of organ showed no significant difference(p=0.774). Satisfaction, impact on time of exercise after program, ideal time for program and impact on reparticipation of program were strong in the questionnaire after growth exercise program(TaeGuk(太極) Health Gigong(氣功)). Conclusions : Korean medicine promotion of health has a salutary effect on elementary school students in rural area by collecting growth and health data and educating easy exercise based on Taichi.

새마을 교육(敎育)과 농촌환경(農材環境) 및 보건위생(保健衛生) (Saemaul Education for ImprovingRural Health in Korea)

  • 방숙
    • Journal of Preventive Medicine and Public Health
    • /
    • 제15권1호
    • /
    • pp.5-16
    • /
    • 1982
  • The Saemaul Undong has brought great improvements tothe life-style environment of rural communities, but it has not been able to focuson a health program. In order to improve rural health, develop human resources, and utilise the nation's manpower, the Saemaul Undong should focus on a community health project. Mobilizing the manpower for such a project can be done by providing opportunities for youth and young adults, especially village women, to betrained as primary health caretakers. This project can be achieved through the joint support of the Ministry of Horne Affairs, the Ministry of health and Social Affairs, and other Ministries. It will take decision and courage by government officials to implement such a grand plan, but it is a very crucial task to promote primary health care throughout the whole nation. This calls for top leader's concern & will to adovocate and support a 'Saemaul Movement for health', giving health asfirst priority to the Saemaul Undong as afresh political drive of the fifth Republic of Korea Government.

  • PDF

Transfusion-associated Circulatory Overload after Rapid Whole Blood Transfusion in a Dog

  • Kang, Seongwoo;Kim, Hyunwoo;Bae, Junwoo;Kim, Woosun;Ahn, Soomin;Yang, Hayoung;Lee, Sang-Kwon;Choi, Jihye;Chae, Joon-Seok;Park, Bae-Keun;Kim, Hyeon-Cheol;Choi, Kyoung-Seong;Park, Jinho;Kim, Suhee;Do, Yoonjung;Yoo, Jae Gyu;Yu, DoHyeon
    • 한국임상수의학회지
    • /
    • 제34권5호
    • /
    • pp.356-358
    • /
    • 2017
  • A dog (neutered male Schnauzer, 11 years old, 8 kg) presented with recurrence of immune-mediated hemolytic anemia. Rapid whole blood transfusion was initiated, and then sudden tachycardia and dyspnea were observed. Invasive arterial blood pressure, arterial blood gas analysis, and thoracic radiograph indicated transfusion-associated circulatory overload (TACO). Persistent high blood pressure of 160-205 mmHg was observed; the thoracic radiograph revealed interstitial infiltration and a fissure line, which suggested pulmonary edema and pleural effusion. Despite furosemide administration and nasal oxygen supplementation, hypertension and respiratory distress were not completely controlled. Finally, cardiac arrest occurred and the patient expired due to TACO 24 hours after the transfusion.